- 期刊
- OpenAccess
Therapeutic Arterial Embolization of Spontaneous Hemorrhage from Ruptured Renal Angiomyolipoma
經腎動脈血管栓塞治療自發性破裂併出血之腎臟肌肉血管脂肪瘤
摘要
這是一例以選擇性經腎動脈血管栓塞來處理自發性破裂腎臟肌肉血管脂肪瘤的例子。患者因為左腰突然劇痛，至本院急診求診。經腎臟超音波掃描及腹部電腦斷層攝影判讀左側腎臟肌肉血管脂肪瘤，合併腎臟周圍血腫。以選擇性經腎動脈血管攝影證實此一腎臟肌肉血管脂肪瘤典型特徵。隨後以止血芳(gelform)成功地完成高度選擇性腎動脈血管栓塞。患者於術後四天出院，並無併發症。三個月後之腹部電腦斷層攝影追蹤顯示整個腫瘤無血腫，同時患者並無任何症狀。因此我們認為除了外科手術以外，經皮腎動脈血管栓塞，對於處理自發性破裂腎臟肌肉血管脂肪瘤不失為－安全又有效之另一選擇。
並列摘要
A case of spontaneous rupture of renal angiomyolipoma was managed by selective therapeutic arterial embolization. The patient was admitted via our emergency room due to sudden onset of severe left flank pain. Renal ultrasonography and abdominal computed tomography (CT) scan findings were suggestive of left renal angiomyolipoma with perirenal hematoma. Selective renal angiogram confirmed the classic features of angiomyolipoma and selective arterial embolization using gelfoam cubes was successfully carried out thereafter. No serious procedural related complications were noted and she was discharged four days after the embolization. Follow-up CT scan of the abdomen three months later revealed no more hematoma and she was asymptomatic. In conclusion, therapeutic arterial embolization is a safe and effective alternative to surgical intervention in the management for rupture of renal angiomyolipoma.
延伸閱讀
- 邱麗萍、陳修聖（2006）。腎臟血管肌肉脂肪瘤自發性破裂。北市醫學雜誌，3(2)，185-188。https://doi.org/10.6200/TCMJ.2006.3.2.10
- Hsu, J. C., Wang, J. Y., Kao, H. L., Lu, C. H., Liu, K. L., & Lin, J. L. (2005). 自發性腎動脈剝離合併對側腎動脈狹窄：經皮血管內支架置放術治療. Acta Cardiologica Sinica, 21(4), 229-233. https://www.airitilibrary.com/Article/Detail?DocID=10116842-200512-21-4-229-233-a
- 黃子豪、張延驊（2016）。腎元保留手術治療腎臟血管肌肉脂肪瘤。臨床醫學月刊，78(4)，219-225。https://doi.org/10.6666/ClinMed.2016.78.4.008
- Lin, I. C., Chen, C. J., Lin, C. H., & Hwang, J. C. (2006). 侵犯性腎臟血管肌肉脂肪瘤之電腦斷層發現：病例報告. 中華放射線醫學雜誌, 31(5), 261-265. https://www.airitilibrary.com/Article/Detail?DocID=10188940-200610-31-5-261-265-a
- Yeh, H. M., Han, S. C., & Chen, J. S. (2013). 接受抗凝血藥物病患併發腎臟腎血管肌肉脂肪瘤出血：病例報告. 秀傳醫學雜誌, 12(3&4), 117-121. https://doi.org/10.3966/156104972013121203006